HomeMy WebLinkAbout1972-10-04 Permit, Sewer Hookup #3335��+'`�. ':,,.N,� i' � � . •.,�,, �,. � ,r+„:,,.....a-, :.III;
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Contractor ro Address
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Owner- r4 Address Aa
State License No. �' Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Parcel No.
Section No
Plat No. —
Other Description:
Lot— Block_ Subdivision
Date J 7/
I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall
comply with the Village Code of Orono applicable thereto, and shall include all additional specifications. as listed below.
Install plumbing systems: Fee $
Install r'
_s.}1ste�r Fee $ � �
Sewage dispe�sal
Repair
Install
water supply systems: Fee $
Repair
Fee $
Total amount paid to Village....... $1�! .LS>✓
Signature of applicant
Signature of Village Official